Individual
MR. SHANNON GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
24 BROOKHILL DR, NEWARK, DE 19702-1301
(302) 454-3020
(302) 709-5264
Mailing address
24 BROOKHILL DR, NEWARK, DE 19702-1301
(302) 454-3020
(302) 709-5264
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0012379
DE
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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